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3333 California St. Suite 10 San Francisco CA 94143-1208 | |
| (415) 476-4980 | |
| (415) 476-7113 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3333 California St., San Francisco, California |
| Authorized Official Name and Position | Daniel J. Langholtz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4154764980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3333 California St. Suite 10 San Francisco CA 94143-1208 Ph: (415) 476-4980 | 3333 California St. Suite 10 San Francisco CA 94143-1208 Ph: (415) 476-4980 |
| NPI Number | 1285831727 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 09/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285831727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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